MEDICARE: DR. ADRIAN ALEXIS ALVAREZ DE LA CAMPA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207U00000X	Nuclear Medicine Physician	15370	PR
2	207UN0901X	Nuclear Cardiology Physician	15370	PR
3	207UN0902X	Nuclear Imaging & Therapy Physician	15370	PR
4	207UN0903X	In Vivo & In Vitro Nuclear Medicine Physician	15370	PR

General Provider Information

NPI Number	:	1871530048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADRIAN ALEXIS ALVAREZ DE LA CAMPA MD

Provider Business Mailing Address
First Line	:	227 CALLE ISABEL
Second Line	:	MANS REAL
City	:	COTO LAUREL
State	:	PR
Zip	:	00780-2601
Country	:	US
Telephone Number	:	787-848-4624
Fax Number	:	787-848-4624

Provider Business Practice Location Address
First Line	:	227 CALLE ISABEL
Second Line	:	MANS REAL
City	:	COTO LAUREL
State	:	PR
Zip	:	00780-2601
Country	:	US
Telephone Number	:	787-848-4624
Fax Number	:	787-848-4624

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	09/11/2025

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